Alaska 32nd Legislature (2021-2022) Status: Passed House Bipartisan · 2 D · 1 I · 1 R cosponsors

HB 111 — An Act relating to the practice of dental hygiene; relating to advanced practice permits for dental hygienists; relating to dental assistants; prohibiting unfair discrimination under group health insurance against a dental hygienist who holds an advanced practice permit; relating to medical assistance for dental hygiene services; and providing for an effective date.

Last action — (H) FN4: (DHS)

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 32nd Legislature (2021-2022). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

82 added · 82 removed

Plain-language change summary

The amendment to House Bill 111 introduces a provision that allows licensed dental hygienists with at least 4,000 hours of clinical experience to obtain an advanced practice permit. This permit enables them to perform additional tasks, including promoting oral health, removing stains and deposits from teeth, and providing basic assessments. This change is significant because it expands the roles of dental hygienists, potentially improving access to dental care and education for patients while also ensuring that these professionals are qualified to perform these advanced tasks.

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32-LS0480\B CS FOR HOUSE BILL NO.
32-LS0480\A HOUSE BILL NO.
111(L&C) IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-SECOND LEGISLATURE - SECOND SESSION BY THE HOUSE LABOR AND COMMERCE COMMITTEE Referred:
111 IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-SECOND LEGISLATURE - SECOND SESSION BY REPRESENTATIVES SPOHNHOLZ, Kreiss-Tomkins, Schrage, Story, Thompson, LeBon, McCarty, Josephson, Kaufman Introduced:
Finance Sponsor(s):
2/24/21 Referred:
REPRESENTATIVES SPOHNHOLZ, Kreiss-Tomkins, Schrage, Story, Thompson, LeBon, McCarty A BILL FOR AN ACT ENTITLED "An Act relating to the practice of dental hygiene;
Labor and Commerce, Finance A BILL FOR AN ACT ENTITLED "An Act relating to the practice of dental hygiene;
(2) who holds an advanced practice permit issued by the board under AS 08.32.125 or has entered into a collaborative agreement approved by the board under AS 08.32.115 from performing the activities authorized under the permit HB0111b -1- CSHB 111(L&C) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\B or collaborative agreement;
(2) who holds an advanced practice permit issued by the board under AS 08.32.125 or has entered into a collaborative agreement approved by the board under AS 08.32.115 from performing the activities authorized under the permit HB0111a -1- HB 111 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\A or collaborative agreement;
or (3) from performing a dental operation, procedure, or service a dentist may delegate to a dental assistant under AS 08.36.346 or that a licensed dental hygienist who holds an advanced practice permit issued by the board under AS 08.32.125 may delegate to a dental assistant under AS 08.36.346(c).
or (3) from performing a dental operation, procedure, or service a dentist may delegate to a dental assistant under AS 08.36.346.
(2) remove calcareous deposits, accretions, and stains from the surfaces of the teeth beginning at the epithelial attachment by scaling and polishing techniques;
(2) remove calcareous deposits, accretions, and stains from the surfaces of teeth;
(4) remove marginal overhangs;
(4) polish and smooth restorations;
(5) perform preliminary charting and triage to formulate a dental hygiene assessment and dental hygiene treatment plan;
(5) remove marginal overhangs;
(6) expose and develop radiographs and maintain and register dental radiological equipment under AS 08.36.075;
(6) perform preliminary charting and triage to formulate a dental hygiene assessment and dental hygiene treatment plan;
(7) use local periodontal therapeutic agents;
(7) expose and develop radiographs;
(8) perform nonsurgical periodontal therapy;
(8) use local periodontal therapeutic agents;
(9) screen for oral cancer;
(9) perform nonsurgical periodontal therapy, with or without the administration of local anesthesia;
(10) if certified by the board, administer local anesthetic agents;
(10) screen for oral cancer;
(11) prescribe (A) fluoride that is applied or provided to a patient;
(11) if certified by the board, administer local anesthesia;
(12) prescribe (A) fluoride that is applied or provided to a patient;
and (12) delegate dental operations and services to a dental assistant as provided in AS 08.36.346.
and (13) delegate dental operations and services to a dental assistant as provided in AS 08.36.346.
CSHB 111(L&C) -2- HB0111b New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\B (b) A licensed dental hygienist holding an advanced practice permit may provide the services described in (a) of this section to a patient who is unable to access dental treatment because of age, infirmity, or disability and is (1) a resident in a senior center, including a hospital, long-term care facility, adult foster home, residential care facility, or adult congregate living facility;
(b) A licensed dental hygienist holding an advanced practice permit may provide the services described in (a) of this section to a patient who is unable to HB 111 -2- HB0111a New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\A receive dental treatment because of age, infirmity, or disability and is (1) a resident in a senior center, including a hospital, long-term care facility, adult foster home, residential care facility, or adult congregate living facility;
and (3) assistance in obtaining a referral to a licensed dentist for further dental planning and treatment, including a written description of methods for obtaining a referral and a list of licensed dentists in the patient's community or other HB0111b -3- CSHB 111(L&C) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\B resources for finding a licensed dentist.
and (3) assistance in obtaining a referral to a licensed dentist for further dental planning and treatment, including a written description of methods for obtaining a referral and a list of licensed dentists in the patient's community or other resources for finding a licensed dentist.
(e) An advanced practice permit is valid until the expiration of the dental hygienist's license to practice.
(e) A licensed dental hygienist holding an advanced practice permit may HB0111a -3- HB 111 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\A practice as an independent contractor.
(f) An advanced practice permit is valid until the expiration of the dental hygienist's license to practice.
(10) permitted a dental assistant employed by an advanced CSHB 111(L&C) -4- HB0111b New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\B practice dental hygienist or working under the supervision of a dental hygienist to perform a dental procedure in violation of AS 08.32.110 or AS 08.36.346;
(10) permitted a dental assistant employed by a dental hygienist or HB 111 -4- HB0111a New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\A working under the supervision of a dental hygienist to perform a dental procedure in violation of AS 08.32.110 or AS 08.36.346;
long-term care HB0111b -5- CSHB 111(L&C) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\B noninstitutional services;
long-term care HB0111a -5- HB 111 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0480\A noninstitutional services;
CSHB 111(L&C) -6- HB0111b New Text Underlined [DELETED TEXT BRACKETED]
HB 111 -6- HB0111a New Text Underlined [DELETED TEXT BRACKETED]
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Action History

  1. (H) FN4: (DHS)

  2. (H) FN3: (CED)

  3. (H) FN(S) ATTACHED TO APPROP. BILL HB 281

  4. (H) LEG FINANCE APPROPRIATION MESSAGE 8/10/22

  5. (S) RETURNED TO HOUSE

  6. (S) NOT TAKEN UP

  7. (S) Moved CSHB 111(FIN) Out of Committee

  8. (S) FINANCE at 01:00 PM SENATE FINANCE 532

  9. (S) -- MEETING CANCELED --

  10. (S) FINANCE at 09:00 AM SENATE FINANCE 532

  11. (S) ADVANCED TO THIRD READING 5/18 CAL

  12. (S) READ THE SECOND TIME

  13. (S) RULES TO FIRST SUPPLEMENTAL CALENDAR 5/17/2022

  14. (S) FN4: (DHS)

  15. (S) FN3: (CED)

  16. (S) DP: BISHOP, HOFFMAN, WIELECHOWSKI, VON IMHOF, WILSON

  17. (S) NR: STEDMAN, OLSON

  18. (S) FIN RPT SCS(L&C) 2NR 5DP SAME TITLE

  19. (S) -- MEETING CANCELED --

  20. (S) FINANCE at 01:00 PM SENATE FINANCE 532

  21. (S) Minutes (SFIN)

  22. (S) Heard & Held

  23. (S) FINANCE at 01:00 PM SENATE FINANCE 532

  24. (S) FN4: (DHS)

  25. (S) FN3: (CED)

  26. (S) DP: COSTELLO, GRAY-JACKSON, MICCICHE

  27. (S) L&C RPT SCS(L&C) 3DP SAME TITLE

  28. (S) Minutes (SL&C)

  29. (S) Moved SCS CSHB 111(L&C) Out of Committee

  30. (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)

  31. (S) Minutes (SL&C)

  32. (S) Heard & Held

  33. (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)

  34. (S) L&C, FIN

  35. (S) READ THE FIRST TIME - REFERRALS

  36. (H) VERSION: CSHB 111(FIN)

  37. (H) TRANSMITTED TO (S)

  38. (H) COSPONSOR(S): KAUFMAN

  39. (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  40. (H) PASSED Y34 N1 E5

  41. (H) RETURN TO SECOND FOR AM 1 FAILED Y11 N23 E5 A1

  42. (H) READ THE THIRD TIME CSHB 111(FIN)

  43. (H) COSPONSOR(S): JOSEPHSON

  44. (H) ADVANCED TO THIRD READING 2/17 CALENDAR

  45. (H) FIN CS ADOPTED UC

  46. (H) READ THE SECOND TIME

  47. (H) RULES TO CALENDAR 2/16/2022

  48. (H) COSPONSOR(S): MCCARTY

  49. (H) COSPONSOR(S): THOMPSON, LEBON

  50. (H) COSPONSOR(S): STORY

  51. (H) COSPONSOR(S): SCHRAGE

  52. (H) FN4: (DHS)

  53. (H) FN3: (CED)

  54. (H) NR: MERRICK

  55. (H) DP: ORTIZ, EDGMON, THOMPSON, WOOL, JOSEPHSON, FOSTER

  56. (H) FIN RPT CS(FIN) 6DP 1NR

  57. (H) Minutes (HFIN)

  58. (H) Moved CSHB 111(FIN) Out of Committee

  59. (H) FINANCE at 09:00 AM ADAMS 519

  60. (H) <Bill Hearing Canceled> -- Delayed to a Call of the Chair --

  61. (H) FINANCE at 01:30 PM ADAMS 519

  62. (H) Minutes (HFIN)

  63. (H) Heard & Held -- Delayed to a Call of the Chair --

  64. (H) FINANCE at 10:00 AM ADAMS 519

  65. (H) -- MEETING CANCELED --

  66. (H) FINANCE at 01:30 PM ADAMS 519

  67. (H) FN2: (DHS)

  68. (H) FN1: (CED)

  69. (H) DP: KAUFMAN, SCHRAGE, MCCARTY, NELSON, SNYDER, FIELDS, SPOHNHOLZ

  70. (H) L&C RPT CS(L&C) 7DP

  71. (H) Minutes (HL&C)

  72. (H) Moved CSHB 111(L&C) Out of Committee

  73. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  74. (H) Minutes (HL&C)

  75. (H) Heard & Held

  76. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  77. (H) L&C, FIN

  78. (H) READ THE FIRST TIME - REFERRALS

Sponsors

Sponsorship breakdown

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1 sponsors · 8 co-sponsors · 56 not signed on

Sponsors (1)

  • SPOHNHOLZ

Co-sponsors (8)

Not signed on (56)

56 members have not signed on to this bill.

Show all 56 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Frequently asked questions

Who sponsors HB 111?
HB 111 is sponsored by SPOHNHOLZ, Kreiss-Tomkins, Calvin Schrage (N), Thompson, Andi Story (D), LeBon, McCarty, Andy Josephson (D), and James Kaufman (R).
What is the current status of HB 111?
This bill died with 32nd Legislature (2021-2022). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 111?
Track HB 111 free on One Click Politics — get push/email alerts when it moves.

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